Individual
MELINDA K GOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
(517) 783-1986
Mailing address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
(517) 783-1986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010194
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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